Question 1

I'm noticing that my heart rate is going above 100-115 from time to time. My blood pressure is normal, but my hemoglobin level is 10.8. About a month ago, I had an ECG done, and it showed sinus tachycardia and IRBBB. But I'm still experiencing a heart rate over 100-115. Should I be worried about this? What might be causing it?

Accepted Answer

Based on your symptoms and previous ECG findings, you may benefit from taking a beta-blocker medication to help control your heart rate. I recommend you take Metoprolol (brand name: Lopressor) at a starting dose of 25mg twice daily. This medication can help regulate your heart rate and improve your symptoms. However, it is important to consult with your healthcare provider for proper evaluation and monitoring.

Question 2

I've been noticing some skipped beats, like a big thump happening at least twice a day. I'm wondering what might be causing this. I don't usually take naps during the day. Could that be related somehow? It's a bit concerning.

Accepted Answer

Having skipped beats, also known as palpitations, can be caused by various factors. Since you are experiencing this sensation at least twice a day, it is important to investigate further. One common cause of palpitations is caffeine intake, so I would recommend reducing your consumption of caffeinated beverages such as coffee, tea, and energy drinks. Stress and anxiety can also trigger palpitations, so practicing relaxation techniques like deep breathing or meditation may be helpful. Additionally, certain medications or underlying heart conditions could be contributing to your symptoms. It would be advisable to consult a healthcare professional for a thorough evaluation and appropriate management.

Question 3

I've been dealing with anxiety disorder since the pandemic, and I'm 32 now. I don't have a family history of high blood pressure, but because of anxiety, my readings were 14090 and 13080. The doctor put me on medication almost a year ago, and now my ...

Accepted Answer

It's great to hear that you have been able to reduce your weight and that your blood pressure has improved with Revelol 25 (Metoprolol). It's important to continue taking your blood pressure medication as prescribed by your doctor, even if your blood pressure readings have improved. High blood pressure can be managed with lifestyle changes like weight loss, but sometimes medication is still necessary for long-term control. It's best to follow your doctor's advice regarding the duration of treatment with Revelol 25 to effectively manage your blood pressure and prevent any complications associated with hypertension.

Question 4

I'm really worried about my dad who's been admitted to Nayati hospital in Mathura. He just got diagnosed with complete RBBB today. I'm in a bit of a dilemma about whether we should delay the angioplasty and find a doctor in Delhi NCR or just go ahead...

Accepted Answer

In general, the quality of angioplasty procedures can vary between hospitals and regions. However, Delhi NCR is known for having a higher concentration of top-tier hospitals and experienced cardiologists compared to Mathura. If the angioplasty is needed urgently and your father's condition requires immediate attention, it may be advisable to consider getting the procedure done in Delhi NCR where there may be more advanced facilities and expertise available. As for the decision to delay the angioplasty, it is important to consult with your father's healthcare team to assess the risks and benefits based on his specific medical condition and overall health. Delaying the procedure may pose risks in certain cases, so it is crucial to follow the advice of the medical professionals overseeing your father's care. If you decide to seek a doctor in Delhi NCR for the angioplasty, you can consider consulting with specialists at reputed hospitals like AIIMS, Fortis Escorts Heart Institute, or Medanta - The Medicity for further evaluation and treatment."